|
Hpa-1 genotyping
|
$7.60 |
$7.60 |
$7.60 |
$200.40
|
|
Hpv types 16 & 18 only
|
$3.15 |
$3.15 |
$3.15 |
$110.06
|
|
H pylori (c-13) breath
|
$67.34 |
$67.34 |
$67.34 |
$213.00
|
|
H pylori drug admin
|
$6.51 |
$6.51 |
$6.51 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$178.50 |
$178.50 |
$178.50 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$123.90 |
$123.90 |
$123.90 |
$1,414.34
|
|
Hrdtry perph neurphy panel
|
$105.00 |
$105.00 |
$105.00 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$7.67 |
$7.67 |
$7.67 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$10.13 |
$10.13 |
$10.13 |
$156.65
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$97.73 |
$97.73 |
$97.73 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$29.56 |
$29.56 |
$29.56 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$60.97 |
$60.97 |
$60.97 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$103.81 |
$103.81 |
$103.81 |
$385.20
|
|
Hydrocolld drg <=16 without bdr
|
$1.61 |
$1.61 |
$1.61 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$78.00 |
$78.00 |
$78.00 |
$153.08
|
|
Hydrogel drg > 48 sq in w/b
|
$5.81 |
$5.81 |
$5.81 |
$22.41
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$17.41 |
$17.41 |
$17.41 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$157.73 |
$157.73 |
$157.73 |
$294.92
|
|
Hydroxyurea 500 mg
|
$1.67 |
$1.67 |
$1.67 |
$13.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$5.74 |
$5.74 |
$5.74 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$5.75 |
$5.75 |
$5.75 |
$73.45
|
|
Hymenotomy
|
$11.62 |
$11.62 |
$11.62 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$237.79 |
$237.79 |
$237.79 |
$6,311.00
|
|
Hyperbaric oxygen therapy
|
$59.36 |
$59.36 |
$59.36 |
$940.09
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$62.79 |
$62.79 |
$62.79 |
$677.60
|
|
Hysterosalpingography s&i
|
$127.26 |
$127.26 |
$127.26 |
$663.50
|
|
Hysteroscopy ablation
|
$57.82 |
$57.82 |
$57.82 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$367.08 |
$367.08 |
$367.08 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$84.42 |
$84.42 |
$84.42 |
$3,997.50
|
|
Hysteroscopy lysis
|
$66.64 |
$66.64 |
$66.64 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$100.66 |
$100.66 |
$100.66 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$83.86 |
$83.86 |
$83.86 |
$5,417.29
|
|
Hysteroscopy resect septum
|
$73.29 |
$73.29 |
$73.29 |
$5,463.96
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$52.22 |
$52.22 |
$52.22 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$69.16 |
$69.16 |
$69.16 |
$144.24
|
|
I131 iodide cap, rx
|
$55.79 |
$55.79 |
$55.79 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$0.94 |
$0.94 |
$0.94 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$2.46 |
$2.46 |
$2.46 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$5.04 |
$5.04 |
$5.04 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$18.48 |
$18.48 |
$18.48 |
$684.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$8,837.36 |
$8,837.36 |
$8,837.36 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$12,574.24 |
$12,574.24 |
$12,574.24 |
$41,418.00
|
|
Icd reliance df4 ib 64cm
|
$1,104.67 |
$1,104.67 |
$1,104.67 |
$9,267.72
|
|
Icut allergy test-delayed
|
$2.24 |
$2.24 |
$2.24 |
$46.45
|
|
Icut allergy test drug/bug
|
$1.40 |
$1.40 |
$1.40 |
$70.29
|
|
I&d abscess posterior spine l/s/ls-22015
|
$229.04 |
$229.04 |
$229.04 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$93.17 |
$93.17 |
$93.17 |
$3,592.74
|
|
I&d/bursa/foot 28001
|
$23.03 |
$23.03 |
$23.03 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$374.57 |
$374.57 |
$374.57 |
$3,839.54
|
|
Idh1 common variants
|
$10.82 |
$10.82 |
$10.82 |
$412.10
|
|
Idh2 common variants
|
$16.56 |
$16.56 |
$16.56 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$107.52 |
$107.52 |
$107.52 |
$3,245.23
|
|
I&d lacrimal sac
|
$40.67 |
$40.67 |
$40.67 |
$2,732.50
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$330.40 |
$330.40 |
$330.40 |
$3,355.20
|
|
I & d vag hematoma non-ob 57023
|
$76.65 |
$76.65 |
$76.65 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$43.75 |
$43.75 |
$43.75 |
$3,334.38
|
|
Igh gene rearrange amp meth
|
$14.70 |
$14.70 |
$14.70 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$20.62 |
$20.62 |
$20.62 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$13.30 |
$13.30 |
$13.30 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$30.87 |
$30.87 |
$30.87 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$10.50 |
$10.50 |
$10.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$19.95 |
$19.95 |
$19.95 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$3.64 |
$3.64 |
$3.64 |
$37.44
|
|
Ikbkap gene
|
$2.20 |
$2.20 |
$2.20 |
$173.49
|
|
Ileostomy/jejunostomy non-tube 44310
|
$243.88 |
$243.88 |
$243.88 |
$1,976.40
|
|
Iliac/fem angio cath insert
|
$251.16 |
$251.16 |
$251.16 |
$1,856.01
|
|
Immob elbow child sm
|
$20.16 |
$20.16 |
$20.16 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$29.12 |
$29.12 |
$29.12 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$21.21 |
$21.21 |
$21.21 |
$114.60
|
|
Immobilizer shldr sling med
|
$23.45 |
$23.45 |
$23.45 |
$126.00
|
|
Immt breast prosthesis 19340
|
$184.80 |
$184.80 |
$184.80 |
$4,883.20
|
|
Immune complex assay
|
$1.71 |
$1.71 |
$1.71 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$34.37 |
$34.37 |
$34.37 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$17.29 |
$17.29 |
$17.29 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$1.55 |
$1.55 |
$1.55 |
$48.38
|
|
Immunodiffusion nes
|
$0.98 |
$0.98 |
$0.98 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$1.56 |
$1.56 |
$1.56 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$6.99 |
$6.99 |
$6.99 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$63.84 |
$63.84 |
$63.84 |
$231.40
|
|
Immunoglobulin assay
|
$6.22 |
$6.22 |
$6.22 |
$75.88
|
|
Immunology procedure
|
$4.67 |
$4.67 |
$4.67 |
$142.56
|
|
Impact tooth remov part bony
|
$48.02 |
$48.02 |
$48.02 |
$1,840.30
|
|
Implant cartilage 10mm synthetic
|
$662.83 |
$662.83 |
$662.83 |
$8,184.00
|
|
Implant hormone pellet(s) 11980
|
$12.95 |
$12.95 |
$12.95 |
$315.75
|
|
Implant neuroelectrodes
|
$200.69 |
$200.69 |
$200.69 |
$18,334.40
|
|
Implant neuroelectrodes
|
$72.31 |
$72.31 |
$72.31 |
$7,766.27
|
|
Implant spine infusion pump
|
$92.68 |
$92.68 |
$92.68 |
$17,270.40
|
|
Implant ureth bulk agent
|
$483.00 |
$483.00 |
$483.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$100.17 |
$100.17 |
$100.17 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$50.40 |
$50.40 |
$50.40 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$96.18 |
$96.18 |
$96.18 |
$5,095.20
|
|
Imp neurosti pls gn any type
|
$12,847.52 |
$12,847.52 |
$12,847.52 |
$8,789.19
|
|
In-111 autol wbc diag per dose
|
$300.65 |
$300.65 |
$300.65 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$312.48 |
$312.48 |
$312.48 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$411.95 |
$411.95 |
$411.95 |
$2,598.17
|
|
Inc dp bone crtx f/arm&/wrst
|
$146.16 |
$146.16 |
$146.16 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$128.10 |
$128.10 |
$128.10 |
$3,821.05
|
|
Incis 1 vertebral seg cerv
|
$423.15 |
$423.15 |
$423.15 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$361.48 |
$361.48 |
$361.48 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$361.83 |
$361.83 |
$361.83 |
$3,619.20
|
